Provider Demographics
NPI:1912677378
Name:LASKER, MOLLY (LMHCA)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:LASKER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:E
Other - Last Name:KITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 ROCKEFELLER AVE # MS 305
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4071
Mailing Address - Country:US
Mailing Address - Phone:619-966-5140
Mailing Address - Fax:
Practice Address - Street 1:3000 ROCKEFELLER AVE # MS 305
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4071
Practice Address - Country:US
Practice Address - Phone:425-327-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61351041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health